Active NPI
Jamie Marie Harnish, PT, DPT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1528547320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013004A
- Practice address
- 6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868 - Phone
- (317) 405-9016
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013004A | IN | Primary |
Addresses
Primary practice location
6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868
Mailing address
5124 E Pleasant Run Parkway North Dr
Indianapolis, IN 46219-5637
Phone (317) 617-5639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013004A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialty Associates, Inc | Past | Accepting new patients | |
| Pediatric Specialty Associates, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Indianapolis, IN
- NPI 1336212638
Physical Therapist
-
- Early Intervention Provider Agency
- Indianapolis, IN
- NPI 1346628492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1528547320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 E PLEASANT RUN PARKWAY NORTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462195637",
"telephone_number": "317-617-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6437 RUCKER RD STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204868",
"telephone_number": "317-405-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNISH",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013004A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.